U.S. patent number 3,840,016 [Application Number 05/339,015] was granted by the patent office on 1974-10-08 for electrocoagulation-bougie for the intrauterine tube sterilization.
Invention is credited to Hans-Joachim Lindemann.
United States Patent |
3,840,016 |
Lindemann |
October 8, 1974 |
ELECTROCOAGULATION-BOUGIE FOR THE INTRAUTERINE TUBE
STERILIZATION
Abstract
The object of the invention is an electrocoagulation-bougie for
the intrauterine sterilization of the tube, the bougie consisting
of a hysteroscope and an electric conductor section emitting
joulean heat, the conductor being installed at the bougie's free
end protruding from the upper end of the hysteroscope so that a
radial heat radiation is obtained for the destruction of tissue
pieces in the field of the section emitting joulean heat without
hurting sound tissue pieces.
Inventors: |
Lindemann; Hans-Joachim (2000
Hamburg 6, DT) |
Family
ID: |
6628146 |
Appl.
No.: |
05/339,015 |
Filed: |
March 7, 1973 |
Foreign Application Priority Data
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Mar 10, 1973 [DT] |
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7305041 |
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Current U.S.
Class: |
606/49;
607/138 |
Current CPC
Class: |
A61B
17/42 (20130101); A61B 18/082 (20130101); A61B
2017/4233 (20130101) |
Current International
Class: |
A61B
18/08 (20060101); A61B 18/04 (20060101); A61B
17/42 (20060101); A61n 003/00 (); A61b
017/36 () |
Field of
Search: |
;128/303.17,401,408 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Pace; Channing L.
Attorney, Agent or Firm: Marmorek; Ernest F.
Claims
I claim:
1. An electro-coagulation bougie for intra-uterine tube
sterilization, comprising a hysteroscope having a tubular shaft, an
electrically conductive probe part extending from one end of said
hysteroscope for providing Joulean heat radiation, two spaced apart
insulating layers on said probe with the surface of said probe
therebetween free of insulation whereby said Joulean heat is
localized away from the end of said probe, and connecting means for
making an electrical connection to said probe through said
hysteroscope whereby said Joulean heat can be generated by a
voltage potential difference between said probe and a portion of
tissue.
2. The electro-coagulation bougie for intra-uterine tube
sterilization as claimed in claim 1, wherein said connecting means
comprises temperature sensing means for sensing the temperature in
the vicinity of said probe.
Description
SUMMARY OF THE INVENTION
Reference is had to applicant's co-pending application Ser. No.
339,011 filed Mar. 7, 1973.
The invention relates to an electrocoagulation-bougie for the
intrauterine tube sterilization. Intrauterine sterilization of the
tube by means of heat radiation is known. The devices used are,
however, not appropriate to generate a punctiform heat radiation to
irradiate only the tissue piece which is to be eliminated. During
irradiation, admission of heat respectively, the field surrounding
the tissue piece which is to be eliminated is equally reached and
destroyed so that lesions caused by heat occur frequently.
It is an object of the invention to construct a bougie with which
the elimination of specific tissue pieces is made possible without
hurting the surrounding tissue fields. As a solution to this task
an electrocoagulation-bougie for intrauterine sterilization is
suggested which is characterized by a hysteroscope constructed in a
manner known per se and including, in the interior of its insulated
tubular shaft a filamentary conductor having an elongated piece
protruding from the upper end of the shaft, said piece having
between two insulated sections a non-insulated section emitting
joulean heat.
The object of the invention is shown in the drawing as follows:
FIG. 1 shows a hysteroscope introduced into the uterus and being
equipped with an electrocoagulation-bougie, partly as an elevation,
partly as a vertical section, and
FIG. 2 is a magnified illustration of the free end of the
electrocoagulation-bougie given as a perspective view.
FIG. 1 shows a hysteroscope 10 designed in a manner known per se
and consisting, in the main, of a tubular shaft 11 having a lateral
inlet at 12 for an electrocoagulation-bougie 13. The hysteroscope
10 moreover reveals a cap-formed connection body 14 which is, in
the embodiment shown in FIG. 1, set upon the os uteri 21 of a
uterus shown at 20 and comprising the two oviducts 22, 23. The
shaft 11 of the hysteroscope is, together with the piece lying
above the set-up body 14, introduced into the uterus 20 up to the
zone of the uterine fundus 25.
At its upper end the shaft 11 of the hysteroscope 10 disposes of an
aperture 15 through which the prolonged end 13a of the
electrocoagulation-bougie 13 is taken out. The
electrocoagulation-bougie 13 consists of an insulated conductor
whose prolonged end 13a which protrudes from the shaft 11 of the
hysteroscope 10 reveals a section 13c emitting joulean heat and
being disposed between two insulated sections 13b and 13d. The
insulated section 13d represents the end of the prolonged piece 13a
of the electrocoagulation-bougie 13 and is formed like a cap (FIG.
2).
By the fact that the part of the conductor which is taken out of
the hysteroscope 10 has got only one section 13c which is emitting
joulean heat, it is possible to heat a zone in the intra-uterine
field of the oviduct of the uterus.
The filamentary conductor 13 which is arranged in the shaft 11 of
the hysteroscope forms, during the operation of the
electrocoagulation-bougie, one of the poles of the conductor,
whereas the human body itself forms the other pole. It is, however,
equally possible to arrange in the interior of the shaft 11 of the
hysteroscope 10 two filamentary conductors which are insulated
against each other and whose free ends taken out through the upper
end of the shaft 11 are connected via a section of the conductor of
high resistance through which the joulean heat is emitted. Lamellar
contact plates with vaporized filamentary conductors can equally be
used. The temperature of the heat emitted by the
electrocoagulation-bougie can be controlled by a series
resistor.
The special advantage of the electrocoagulation-bougie constructed
according to the invention consists in that a radial field emitting
joulean heat is formed at the end of the bougie so that
sterilization is made possible by irradiating specific parts of the
tissue. By the fact that the free end 13d of the
electrocoagulation-bougie which joins the joulean heat emitting
section 13c has an exterior envelope of insulating material,
healthy parts of the tissue are not damaged and frontal irradiation
is avoided.
In order to be able to control the temperature in the field of
section 13c of the bougie there exists the possibility to use a
high-temperature conductor shown by No. 30 in FIG. 2 which can be
used for measuring, regulating and controlling. The
high-temperature conductor 30 is connected to a control and
regulating device given at 31 and 32 in which the temperature
measured at the place where the heat is emitted is stored and used
for controlling the electric voltage for the bougie. The
high-temperature conductor 30 can exist in form of a filamentary
semi-conductor which is specially arranged in the interior of the
shaft 11, or the bougie 13 itself can be used as high-temperature
conductor.
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